腹腔镜与经腹子宫肌瘤剔除术疗效比较

目的:探讨腹腔镜下子宫肌瘤剔除术在妇科领域的应用价值.方法:回顾性分析腹腔镜下子宫肌瘤剔除术28例(N1组)与经腹子宫肌瘤剔除术28例(N2组)患者的手术及术后情况.结果:N1组平均手术时间(102.26±24.02)min,N2组(78+27.32)min(P<0.05):N1组术中出血(90.11+45.28)mL N2组为(165.35±77.32)mL(P<0.05).N1组术后平均体温恢复正常时间(1.16±1.01)d,N2组为(2.86+1.19)d(P<0.05)；N1组术后平均住院(5.54±1.52)d,N2组(9.28±1.53)d(P<0.05).全组无死亡病例及严重并发症发生.结论:腹腔镜下子宫肌瘤剔除术安全、有效,用于适当病例可完全取代开腹手术.

Comparison of laparoscopic myomectomy versus transabdominal myomectomy

Objectives ：To explore the application value of laparoscopic myomectomy in gynecologic field.Methods ：The clinical data of the 28 patients receiving laparoscopic myomectomy （N1 group） and 28 patients transabdominal myomectomy （N2 group） were analyzed retrospectively.Results ：The mean operative time and blood loss were （102.26±24.02）min and （90.11±45.28）mL in NI group respectively, while （78±27.32）min and （165.35±77.32） mL in N2 group respectively（P〈0.05）.The mean time of resuming normal temperature after operation was （1.16＋l.01）d in Nlgroup and （2.86±19）d in N2 group （P〈0.05）.In N1 group, the mean hospitalization after operation was （5.54±1.52）d,while （9.28±1.53）d in N2 group （P〈0.05）.Conclusion：Laparoscopic myomectomy is safe and effective,which is deserved to be advocated in some proper cases.